Answer this question truthfully
### Question: Who needs Nissen fundoplication?
### Response: Your doctor may suggest surgery when:
You have symptoms of heartburn that get better when you use medicines, but you do not want to continue taking these medicines. Symptoms of heartburn are burning in the stomach that you may also feel in your throat or chest, burping or gas bubbles, or have trouble swallowing food or fluids. Part of your stomach is getting stuck in your chest or is twisting around itself. This is called a para-esophageal hernia. You have reflux disease and another related, serious problem. Some of these problems are strictures (a narrowing of your esophagus), ulcers in your esophagus, and bleeding in your esophagus. You have reflux disease and aspiration pneumonia (a lung infection caused by inhaling contents of the stomach into the lungs), a chronic cough, or hoarseness.